Ch+20 Participants Registration

$p_val) { $$p_key = htmlentities($p_val,ENT_QUOTES); } if (!$name) { $err[name] = "Required Field: You must enter your name."; } else { $a_name = split(" ",$name); if (count($a_name) < 2) { $err[name] = "Required Field: Please enter your full name."; } } if (!$address) { $err[address] = "Required Field: You must enter your address."; } if (!$city) { $err[city] = "Required Field: You must enter your city."; } if (!$zip) { $err[zip] = "Required Field: You must enter your zip/postal code."; } if (!$country) { $err[country] = "Required Field: You must enter your country."; } if (!$phone) { $err[phone] = "Required Field: You must enter your phone number."; } if (!$email) { $err[email] = "Required Field: You must enter your email address."; } else { $find = ".+\@.+\..+"; $v_email = ereg($find, $email, $matches); if (!$v_email) $err[email] = "Required Field: Please enter a valid email address."; } if (!$assistance) { $err[assistance] = "Please specify whether or not you need financial assistance."; } elseif ($assistance == "yes" && (!$amount || !$purpose)) { $err[assistance_details] = "Since you are applying for financial assistance, please specify how much money you need and for what purpose you need it."; } if (!$lodging) { $err[lodging] = "Please specify whether or not you need assistance with finding lodging."; } elseif ($lodging == "yes" && !$lodging_detail) { $err[lodging_detail] = "Since you are requesting help with lodging, please indicate the dates and number of people in your party needing lodging."; } if (count($err) > 0) { // format error codes foreach ($err as $err_key=>$err_val) { $err[$err_key] = "$err_val
"; } $m = "

Registration Failed
One or more errors were found in your submission. Please fix them below and re-submit the form.

"; // save users' checked/selected fields $s_country[$country] = " selected"; $s_assistance[$assistance] = " checked"; $s_lodging[$lodging] = " checked"; $s_visit[$visit] = " selected"; } else { // db connect include "/home/nirs/data/ch20/nirs_ch20min.php"; // generate unique md5 hash $current = time(); $uid = $name . $name . $name . $current . $name; $uid = md5($uid); $q_insert = "INSERT INTO attendees (type,uid,name,organization,address,city,state,zip,country,phone,fax,email,financial,financial_amount,financial_purpose,lodging,lodging_detail,visa,visit,chornobyl_consequences,climate_change,nuclear_safety,radioactive_waste,nuclear_economics,sustainable_energy,grassroots_networking,topic_other) VALUES ('participant','$uid','$name','$organization','$address','$city','$state','$zip','$country','$phone','$fax','$email','$assistance','$amount','$purpose','$lodging','$lodging_detail','$visa','$visit','$chornobyl_consequences','$climate_change','$nuclear_safety','$radioactive_waste','$nuclear_economics','$sustainable_energy','$grassroots_networking','$topic_other')"; $r_insert = mysql_query($q_insert); if (!$r_insert) { die("Query Failed"); } $id = mysql_insert_id(); $country = get_country($country); $a_name = split(" ",$name); $first = $a_name[0]; $ty_sender = "tanyam@nirs.org"; $ty_message = "Hi $first,\n\nThank you for registering for the \"Chornobyl+20: Remembrance for the Future\" International Conference. You may view a receipt of your registration at:\n\nhttp://www.ch20.org/v/$uid\n\nIf you have any questions, please don't hesitate to contact us. We look forward to seeing you at the conference.\n\nThanks,\n\nCH20.org Team"; $ty_subject = "Chornobyl+20 Registration"; $ty_send = mail("$email","$ty_subject","$ty_message","From: $ty_sender\n"); $message_recipient = "tanyam@nirs.org"; $message_body = "=============\nCH20 Attendee\n=============\n\n$name\n$address\n$city, $state $zip\n$country\n\nOrganization: $organization\nPhone: $phone\nFax: $fax\nEmail: $email\n\nFinancial Assistance: $assistance\nAmount: $amount\nPurpose: $purpose\n\nLodging Assistance: $lodging\nDetails: $lodging_detail\n\nVisa Assistance: $visa\n\nChornobyl Visit: $visit\n\nTopic Interests:\n$chornobyl_consequences Chornobyl consequences\n$climate_change Nuclear power and climate change\n$nuclear_safety Nuclear power safety\n$radioactive_waste Radioactive Waste\n$nuclear_economics Nuclear power economics\n$sustainable_energy Building a Sustainable Energy future\n$grassroots_networking Grassroots networking\nOther: $topic_other\n\nDatabase: http://www.ch20.org/attendee/$id"; $message_subject = "[CH20] Attendee: $name"; $message_send = mail("$message_recipient","$message_subject","$message_body","From: robot@ch20.org\n"); header("location:http://www.ch20.org/thanks.php?uid=$uid"); } } ?> Ch+20 Participants Registration

Participants Registration

You can register for the Chornobyl+20: Remembrance for the Future conference here. The conference will take place April 23-25 at the House of the Teacher in Kyiv, Ukraine.

The conference fee is 50 Euros, which includes lunch on April 24 and 25. Accommodations are separate. Lodging in Kyiv generally runs anywhere from 30 to 300 Euros per night, depending on the venue. We can assist you with finding suitable lodging if needed. Dinners can range from about 4 Euros in popular cafeterias to the stratosphere, depending on your tastes.

A limited amount of financial assistance is available for conference attendees, especially from Eastern Europe/NIS countries and developing countries. If you are applying for financial assistance, please indicate so, how much assistance you would need, and what the assistance would be for.

If you are ready to register and pay conference fee now with you credit card through secure server click here: Register here

If you are not ready to pay yet, but want to pre-register for conference and pay later, or pay other way than credit card, please fill in the form below:

* Full Name:	"/>
Organization:	"/>
* Address:	"/>
* City:	"/>
State/Province:	"/>
* Postal/Zip Code:	"/>
* Country:
* Phone Number:	"/>
Fax Number:	"/>
* Email Address:	"/>
* Are you applying for financial assistance?
	/> Yes /> No
If so, how much money is needed? For what purpose?
Amount:	"/>
Purpose:	" size="40"/>
* Do you want help with finding lodging?
	/> Yes /> No
If so, please indicate dates:
What topics are of most interest to you? Please mark with 5 being your highest priority and 1 being of lowest interest to you.
	" size="2"/> Chornobyl consequences " size="2"/> Nuclear power and climate change " size="2"/> Nuclear power safety " size="2"/> Radioactive Waste " size="2"/> Nuclear power economics " size="2"/> Building a Sustainable Energy future " size="2"/> Grassroots networking Other: " size="40"/>